Provider Demographics
NPI:1346444023
Name:BRAUND-ALLEN, MISSA MELAINA (MA, LMFT)
Entity type:Individual
Prefix:MISS
First Name:MISSA
Middle Name:MELAINA
Last Name:BRAUND-ALLEN
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4644 BROWNS POINT BLVD
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98422-2038
Mailing Address - Country:US
Mailing Address - Phone:253-293-5163
Mailing Address - Fax:
Practice Address - Street 1:917 PACIFIC AVE
Practice Address - Street 2:SUITE 413
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-4446
Practice Address - Country:US
Practice Address - Phone:253-293-5163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2014-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF60416912106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist